Figure 1: Transformative in respect of what? This post summarises a note I have drafted on the definition of "transformative WASH", available here, with references. There has been a lot of talk about “transformative” WASH since the WASH-B, SHINE and MapSan results came out. I have previously written about those results here. The argument runs… Continue reading What is transformative WASH?
My colleague Seungman Cha has a paper out this week, which I co-authored with him and others. It’s a trial-based cost-benefit analysis (CBA) of a community-led total sanitation (CLTS) intervention in rural south-western Ethiopia. We estimated intervention delivery costs from financial records and recurrent costs from the trial's surveys. All outcome data are from the… Continue reading New paper – trial-based cost-benefit analysis of a CLTS intervention in Ethiopia
Introduction Since investment options are always compared under a budget constraint, economic evaluation aims to inform unavoidable decisions and support allocative efficiency. Various economic evaluation methods (such as cost-effectiveness analysis and cost-benefit analysis) compare costs and consequences of alternative interventions. Improvements in sanitation can impact on health, and it is typically health outcomes such as averted… Continue reading Using the concept of ‘sanitation-related quality of life’ (SanQoL) to measure what is valued by users
Today I attended not one, but two, seminars on CLTS. The first was Britta Augsburg presenting results of a recent cRCT of a WaterAid CLTS intervention in Nigeria (at LSHTM). The second was Dale Whittington reflecting on CLTS trials in the last few years and his recent CBA paper incorporating their results (at Oxford). A… Continue reading CLTS, targeting and economic performance – reflections on two seminars
An update to the WHO-led systematic review of the ‘Impact of drinking water, sanitation and handwashing with soap on childhood diarrhoeal disease’ by Wolf et al. (2018) was published in TMIH in May. I re-read it last week with a water supply hat on, and was interested to see how they’ve improved on the 2014… Continue reading Water supply & diarrhoea – latest systematic review and economic implications